<?php  ?>

<form class="form-class" action="process-data.php" id="add-client" method="post">
		<h3>Add a client</h3>
		<div class="row">
			<div class="left">Client Name</div>
			<div class="right"><input type="text" name="name" class="text required"></div>
			<div class="clear"></div>
		</div>
		<div class="row">
			<div class="left">Client Address</div>
			<div class="right"><textarea name="address" class="text required"></textarea></div>
			<div class="clear"></div>
		</div>
		<div class="row">
			<div class="left">Client Location</div>
			<div class="right"><input type="text" name="location" class="text required"></div>
			<div class="clear"></div>
		</div>
		<div class="row">
			<div class="left">Client Code</div>
			<div class="right"><input type="text" name="code" class="text required"></div>
			<div class="clear"></div>
		</div>
		<input type="hidden" name="function" value="add_client">
		<input type="submit" value="add client">	
	</form>